“…73 Blastomycosis can present as systemic neurologic and pulmonary disease, or as ulcerative, nonhealing lesions on the skin and footpads. 76,77 Agar gel immunodiffusion assay, cytology, or histopathology can be used for diagnostic purposes. 76,77 Cultures should only take place in a professional laboratory to eliminate the zoonotic risk of infective blastomycosis spores.…”